| NPI | 1104451673 |
|---|---|
| Former Name | EMILY CLAIRE WALLENHORST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 105421) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 6705-026) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-09-30 |